Listen to this past episode from the Modern Pleasure Podcast where Kim talks to Dr. Jenni and her husband, Daniel Lebowitz on the subject of ED.  Daniel explains how ED plagues both the partnership and the man, but how important it is for the penis to be the signal, acting like a lightning rod for your needs, wants, fears and boundaries. Daniel also covers important facts around prostate surgery. 

Listen to this past episode from the Modern Pleasure Podcast where Kim talks to Dr. Jenni and her husband, Daniel Lebowitz on the subject of ED.&nbsp; Daniel explains how ED plagues both the partnership and the man, but how important it is for the penis to be the signal, acting like a lightning rod for your needs, wants, fears and boundaries. Daniel also covers important facts around prostate surgery.&nbsp;

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

Links: 

drjenniskyler.substack.com

The Intimacy Institute Roadmap to Intimacy online courses

 

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
Links:&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com</a>
<a href="https://www.intimacyinstitute.org/roadmap">The Intimacy Institute Roadmap to Intimacy online courses</a>
&nbsp;

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology.

Sex and the Psyche

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

drjenniskyler.substack.com  

intimacyinstitute.org/roadmap

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com&nbsp; </a>
<a href="https://www.intimacyinstitute.org/roadmap">intimacyinstitute.org/roadmap</a>

Sex and the Psyche 

Re-publish | Listen Again: Beyond the Blue Pill - Dr. Jenni and Daniel on Breaking from ED

Dr. Irwin Goldstein didn't set out to become a pioneer of sexual medicine. He was a biomedical engineer turned urology resident who, as he tells it, asked one stupid question during a 1976 surgery: "Could you explain the physiology of erection to me?" The surgeon shrugged. Irwin spent the next decade figuring it out. Along the way, he co-discovered that nitric oxide, the elephant of our air, is what makes erections possible. He published the first paper on it in 1991. Seven years later, he became the first author on the New England Journal of Medicine paper that introduced Viagra to the world. But that's only half the story. The other half is Sue Goldstein, Irwin's college sweetheart turned partner in life, parenting, and eventually the practice itself. Sue spent decades raising their family while quietly absorbing the science her husband brought home. She is now an AASECT-certified educator, a published researcher, and one of the most outspoken patient advocates in the field. Together, they run San Diego Sexual Medicine, a clinic where every patient gets a three-hour visit, full education, and an entire team practicing what they call true bio-psycho social care. In this first half of our two-part conversation, Dr. Jenni Skyler and Daniel Lebowitz sit with the Goldsteins and explore how a field gets built, and how it still leaves so many patients behind. They cover prostate cancer and the silent erectile crisis that follows it. The buccal grafting innovation that's helping women with severe vestibular pain finally get answers. Why women, on average, see ten or twelve doctors before they get a real diagnosis. And Sue's pet peeve, medical gaslighting and what to do when a doctor says "there's nothing that can be done." This is a conversation for anyone who has ever felt unheard by a clinician, dismissed by their own body, or convinced they were the problem. The Goldsteins want you to know — you're not. You just haven't been to the right office yet.

 

Irwin Goldstein, MD, IF (he/him/his)
Director, San Diego Sexual Medicine
5555 Reservoir Drive, Suite 300, San Diego, CA 92120
Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA
Clinical Professor of Urology, University of California at San Diego
Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services
Past President, International Society for the Study of Women’s Sexual Health
Past President, Sexual Medicine Society of North America
Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine,  International Journal of Impotence Research
phone: 619 265-8865
fax: 619 265-7696
mobile: 619 987-7432
dr.irwingoldstein@gmail.com
http://www.sandiegosexualmedicine.com
Like us on Facebook: https://www.facebook.com/SDSexMed
twitter.com/SDSexualMed

Dr. Irwin Goldstein didn't set out to become a pioneer of sexual medicine. He was a biomedical engineer turned urology resident who, as he tells it, asked one stupid question during a 1976 surgery: "Could you explain the physiology of erection to me?" The surgeon shrugged. Irwin spent the next decade figuring it out. Along the way, he co-discovered that nitric oxide, the elephant of our air, is what makes erections possible. He published the first paper on it in 1991. Seven years later, he became the first author on the New England Journal of Medicine paper that introduced Viagra to the world. But that's only half the story. The other half is Sue Goldstein, Irwin's college sweetheart turned partner in life, parenting, and eventually the practice itself. Sue spent decades raising their family while quietly absorbing the science her husband brought home. She is now an AASECT-certified educator, a published researcher, and one of the most outspoken patient advocates in the field. Together, they run San Diego Sexual Medicine, a clinic where every patient gets a three-hour visit, full education, and an entire team practicing what they call true bio-psycho social care. In this first half of our two-part conversation, Dr. Jenni Skyler and Daniel Lebowitz sit with the Goldsteins and explore how a field gets built, and how it still leaves so many patients behind. They cover prostate cancer and the silent erectile crisis that follows it. The buccal grafting innovation that's helping women with severe vestibular pain finally get answers. Why women, on average, see ten or twelve doctors before they get a real diagnosis. And Sue's pet peeve, medical gaslighting and what to do when a doctor says&nbsp;"there's nothing that can be done." This is a conversation for anyone who has ever felt unheard by a clinician, dismissed by their own body, or convinced they were the problem. The Goldsteins want you to know &mdash; you're not. You just haven't been to the right office yet.
&nbsp;
Irwin Goldstein, MD, IF (he/him/his) Director, San Diego Sexual Medicine 5555 Reservoir Drive, Suite 300, San&nbsp;Diego, CA 92120 Director, Sexual Medicine, UC San Diego&nbsp;Health East Campus, San Diego, CA Clinical Professor of Urology, University of&nbsp;California at San Diego Voluntary Clinical Professor of Obstetrics,&nbsp;Gynecology and Reproductive Services Past President, International Society for&nbsp;the Study of Women&rsquo;s Sexual Health Past President, Sexual Medicine Society of&nbsp;North America Editor Emeritus,&nbsp;Sexual Medicine&nbsp;Reviews,&nbsp;The Journal of Sexual Medicine,&nbsp;&nbsp;International Journal of Impotence&nbsp;Research phone: 619 265-8865 fax: 619 265-7696 mobile: 619 987-7432 dr.irwingoldstein@gmail.com <a href="http://www.sandiegosexualmedicine.com">http://www.sandiegosexualmedicine.com</a> Like us on Facebook:&nbsp;<a href="https://www.facebook.com/SDSexMed">https://www.facebook.com/SDSexMed</a> <a href="https://x.com/SDSexualMed">twitter.com/SDSexualMed</a>

Dr. Jenni Skyler and Daniel Lebowitz sit down with the legendary couple who built the field of sexual medicine. Dr. Irwin Goldstein, first author on the original Viagra paper, founder of ISSWSH, and one of the most published voices in the field and Sue Goldstein, AASECT-certified educator and patient advocate, share how their San Diego clinic redefines bio-psycho social care, why most sexual health problems still go unaddressed, and the specific moments that changed the trajectory of the entire field.

Beyond Viagra: The Pioneers of Sexual Medicine  with Dr. Irwin & Sue Goldstein - Part 1

When Susan Bratton talks about intimacy, she doesn't speak in theory. She speaks from 34 years of marriage. From decades of teaching couples how to stay erotically connected through every life stage. From writing 44 books and programs on passionate lovemaking and from her own personal journey. Eleven years into her marriage, she had never had an orgasm from intercourse and was avoiding sex with her husband entirely. Then she learned. And everything changed.

In this episode, Dr. Jenni Skyler and Daniel Lebowitz sit down with Susan for a wide-ranging conversation about what really keeps long-term love erotically alive. They talk about the expanded orgasm practice she learned from her mentor Dr. Patti Taylor — and how it transformed Susan from someone who couldn't orgasm during intercourse into someone who describes herself as an "orgasmic optimizer." They explore why Susan rejects the word "anorgasmia" entirely, replacing it with a single word: yet. They dig into the truth about female arousal that most couples never learn — that women's erectile tissue takes 20 to 30 minutes to fully engorge, and that the cultural script of "get hard, penetrate, finish" is, in Susan's words, "a religiously repressed patriarchal female oppression strategy that is no longer working." They talk about scheduled intimate dates (Susan and her husband have them two to six times a week), radical honesty as the foundation of a 34-year marriage, and why turn-on isn't just about sex — it's a life force that spills into everything. Susan also shares her ten intimacy principles — including the one she calls the most important of them all: practicing radical honesty. If you've ever wondered whether long-term love and erotic aliveness can coexist — Susan is the proof, and this episode is the playbook.

Susan is a champion and advocate for all those who desire ageless intimacy. She is a best-selling author and publisher of 44 books and programs including Sexual Soulmates, Relationship Magic, Revive Her Drive, The Steamy Sex Ed® Video Collection, Ravish Him, Dirty Talk, The Pumping Guide and Thrust In Time. She’s the official company spokesperson for GAINSWave®  and The
Dr. Joel Kaplan Company. She serves as Chief Advocacy Officer of ProDxHealth.org STI testing.

Susan has been a featured guest on over 1,000 podcasts and TV shows, including:

Diary of a CEO, You Are Not Broken, Sex with Emily, The Human Upgrade with Dave Asprey, Good
Moms Bad Choices, Heal
Thyself, IDIOT with Laura Clery, The Infamous “Clit Camp” Music Video, LuvBites with Dr. Tara, and The Chalene Show.

Her books and interviews have helped millions take control of their sexual joy. Her message resonates across gender and age because it’s rooted in agency, body literacy, and connection.

Susan Bratton | "Intimacy Expert to Millions ” 
CEO, Better Lover · Personal Life Media · The20

Susan has spent over two decades doing something censorship and shame have long tried to silence: teaching people the pleasure-based sex education they never received. 

She is the world's most prolific sex educator and author of 44 books and programs. 

Her newsletters, Better Lover, Personal Life Media, The20, and Longevity Wins, reach 300,000 readers, and her precision sexual vitality supplements are formulated on the science of blood flow and desire.

SusanBratton.com

BetterLover.com

Personal Life Media, Inc.
The20, LLC.

When Susan Bratton talks about intimacy, she doesn't speak in theory. She speaks from 34 years of marriage. From decades of teaching couples how to stay erotically connected through every life stage. From writing 44 books and programs on passionate lovemaking and from her own personal journey. Eleven years into her marriage, she had never had an orgasm from intercourse and was avoiding sex with her husband entirely. Then she learned. And everything changed.
In this episode, Dr. Jenni Skyler and Daniel Lebowitz sit down with Susan for a wide-ranging conversation about what really keeps long-term love erotically alive. They talk about the expanded orgasm practice she learned from her mentor Dr. Patti Taylor &mdash; and how it transformed Susan from someone who couldn't orgasm during intercourse into someone who describes herself as an "orgasmic optimizer." They explore why Susan rejects the word "anorgasmia" entirely, replacing it with a single word: yet. They dig into the truth about female arousal that most couples never learn &mdash; that women's erectile tissue takes 20 to 30 minutes to fully engorge, and that the cultural script of "get hard, penetrate, finish" is, in Susan's words, "a religiously repressed patriarchal female oppression strategy that is no longer working." They talk about scheduled intimate dates (Susan and her husband have them two to six times a week), radical honesty as the foundation of a 34-year marriage, and why turn-on isn't just about sex &mdash; it's a life force that spills into everything. Susan also shares her ten intimacy principles &mdash; including the one she calls the most important of them all: practicing radical honesty. If you've ever wondered whether long-term love and erotic aliveness can coexist &mdash; Susan is the proof, and this episode is the playbook.
Susan is a champion and advocate for all those who desire ageless intimacy. She is a best-selling author and publisher of 44 books and programs including Sexual Soulmates, Relationship Magic, Revive Her Drive, The Steamy Sex Ed&reg; Video Collection, Ravish Him, Dirty Talk, The Pumping Guide and Thrust In Time. She&rsquo;s the official company spokesperson for <a href="https://gainswave.com/susan">GAINSWave&reg;&nbsp;</a> and <a href="https://trustyclick.com/kaplanhome">The</a> <a href="https://trustyclick.com/kaplanhome">Dr. Joel Kaplan Company</a>. She serves as Chief Advocacy Officer of <a href="https://fullpaneltest.com/">ProDxHealth.org </a>STI testing.
Susan has been a featured guest on over 1,000 podcasts and TV shows, including:
<a href="https://youtu.be/LLMCd3WbgGk?si=h_M6AoiR5MBzG977">Diary </a><a href="https://youtu.be/LLMCd3WbgGk?si=h_M6AoiR5MBzG977">of a CEO</a>, <a href="https://youtu.be/jQCCh2-9sps?si=XBQVVFFgZsiKuEKT">You&nbsp;Are Not Broken</a>, <a href="https://youtu.be/tOkvSJAE6_8?si=XWL0iV1ZiS_uLaP5">Sex&nbsp;with Emily</a>, <a href="https://youtu.be/3idAK1D85cs?si=SmDUt-bfo9L2LJgW">The&nbsp;Human Upgrade with Dave Asprey</a>, <a href="https://youtu.be/7o32XPm5GAQ?si=1SrRnUS0ZJPJ7RDQ">Good</a> <a href="https://youtu.be/7o32XPm5GAQ?si=1SrRnUS0ZJPJ7RDQ">Moms Bad Choices</a>, <a href="https://youtu.be/YLnwtQkJA4g?si=bkwysJP6OGhU_l4A">Heal</a> <a href="https://youtu.be/YLnwtQkJA4g?si=bkwysJP6OGhU_l4A">Thyself</a>, <a href="https://youtu.be/mhJxLehMHlo?si=4LlsPAgdLjbpdiLb">IDIOT&nbsp;with Laura Clery</a>, <a href="https://youtube.com/shorts/Gv8ra4OoDsU?si=bYJh1QV0GBotOVxz">The&nbsp;Infamous &ldquo;Clit Camp&rdquo; Music Video</a>, <a href="https://youtu.be/Zi3inBEE6Ts?si=dym3_I2K0A9WvTmQ">LuvBites&nbsp;with Dr. Tara,</a> and <a href="https://youtu.be/d-GmrWNpwjY?si=JtyqgY98hXdRVdDG">The&nbsp;Chalene Show</a>.
Her books and interviews have helped millions take control of their sexual joy. Her message resonates across gender and age because it&rsquo;s rooted in agency, body literacy, and connection.
Susan Bratton&nbsp;| "Intimacy Expert to Millions&nbsp;&rdquo;&nbsp; CEO, Better Lover &middot; Personal Life Media &middot; The20
Susan has spent over two decades doing something censorship and shame have long tried to silence: teaching people the pleasure-based sex education they never received.&nbsp;
She is the world's most prolific sex educator and author of 44 books and programs.&nbsp;
Her newsletters, Better Lover, Personal Life Media, The20, and Longevity Wins, reach 300,000 readers, and her precision sexual vitality supplements are formulated on the science of blood flow and desire.
<a href="http://susanbratton.com/" data-saferedirecturl="https://www.google.com/url?q=http://susanbratton.com&amp;source=gmail&amp;ust=1778768837392000&amp;usg=AOvVaw38MwBme8rNaqnHzm1bihY6">SusanBratton.com</a>
<a href="http://betterlover.com/" data-saferedirecturl="https://www.google.com/url?q=http://betterlover.com&amp;source=gmail&amp;ust=1778768837392000&amp;usg=AOvVaw0kpDWh4fEnetJYZdmWpWkP">BetterLover.com</a>
<a href="http://personallifemedia.com/" data-saferedirecturl="https://www.google.com/url?q=http://personallifemedia.com&amp;source=gmail&amp;ust=1778768837394000&amp;usg=AOvVaw2cWnXB-lei8Crx7c5FOFm-">Personal Life Media, Inc.</a> <a href="https://the20store.com/" data-saferedirecturl="https://www.google.com/url?q=https://the20store.com/&amp;source=gmail&amp;ust=1778768837394000&amp;usg=AOvVaw2lNnqzBggoeXGuLDVBspGw">The20, LLC</a>.

Dr. Jenni Skyler and Daniel Lebowitz sit down with intimacy expert Susan Bratton — author of 44 books and programs, and one of the most outspoken voices in long-term sexual fulfillment. After 34 years of marriage, Susan shares what actually keeps a sex life thriving: expanded orgasm techniques, radical honesty, the truth about female arousal that most couples never learn, and why "anorgasmia" might be the wrong word entirely. A masterclass in staying erotically alive — on purpose.

Susan Bratton on Expanded Orgasm, Radical Honesty, and 34 Years of Hot Sex

 In this episode, Jenni and Daniel talk with infidelity expert Michelle Weiner-Davisabout how couples can rebuild sex, safety, and emotional connection after an affair. They normalize everything from “hot and heavy” post-discovery sex to long dry spells, and offer practical tools for easing back into touch, managing triggers, and shifting from obligation to genuine desire. Michelle also explains why she believes choice—not a “bad marriage”—causes infidelity, and how he two-day intensives help couples move from crisis to traction.    

Bullet Points: 
It’s common for betrayed partners to feel  increased sexual desire  for the unfaithful spouse right after discovery—this can be a form of reclaiming and reconnection, not something to be ashamed of.
After an initial “hot and heavy” phase, sex often cools down, which can  trigger panic  that the couple is sliding back into old patterns.
Rebuilding intimacy works best when couples  start with low‑ pressure touch  (like hugs that are  explicitly not a prelude to sex) instead of jumping straight to intercourse.
Many women experience sex as  obligation—understanding  responsive desire  and their own pleasure can shift sex from duty to something they actively want.
Michelle argues that  “bad marriages don’t cause infidelity; deciding to cheat does”, and she uses  two‑ day therapy intensives  to give couples enough time to stabilize, process, and begin real repair.

Links: 

Michele@divorcebusting.com
2-day intensive Information
Audiobook:  Healing from Infidelity
Website: DivorceBusting.com

&nbsp;In this episode, Jenni and Daniel talk with infidelity expert Michelle Weiner-Davisabout how couples can rebuild sex, safety, and emotional connection after an affair. They normalize everything from &ldquo;hot and heavy&rdquo; post-discovery sex to long dry spells, and offer practical tools for easing back into touch, managing triggers, and shifting from obligation to genuine desire. Michelle also explains why she believes choice&mdash;not a &ldquo;bad marriage&rdquo;&mdash;causes infidelity, and how he two-day intensives help couples move from crisis to traction. &nbsp; &nbsp;
Bullet Points:&nbsp;
<ul>
<li>It&rsquo;s common for betrayed partners to feel &nbsp;increased sexual desire &nbsp;for the unfaithful spouse right after discovery&mdash;this can be a form of reclaiming and reconnection, not something to be ashamed of.</li>
<li>After an initial &ldquo;hot and heavy&rdquo; phase, sex often cools down, which can &nbsp;trigger panic &nbsp;that the couple is sliding back into old patterns.</li>
<li>Rebuilding intimacy works best when couples &nbsp;start with low‑ pressure touch &nbsp;(like hugs that are &nbsp;explicitly not a prelude to sex) instead of jumping straight to intercourse.</li>
<li>Many women experience sex as &nbsp;obligation&mdash;understanding &nbsp;responsive desire &nbsp;and their own pleasure can shift sex from duty to something they actively want.</li>
<li>Michelle argues that &nbsp;&ldquo;bad marriages don&rsquo;t cause infidelity; deciding to cheat does&rdquo;, and she uses &nbsp;two‑ day therapy intensives &nbsp;to give couples enough time to stabilize, process, and begin real repair.</li>
</ul>
Links:&nbsp;
<a href="mailto:Michele@divorcebusting.com">Michele@divorcebusting.com</a> <a href="https://www.divorcebusting.com/intensives">2-day intensive Information</a> Audiobook: <a href="https://www.amazon.com/Healing-Infidelity-Sanity-Affairs-Marriage/dp/B0FLZ8ZM32/ref=tmm_aud_swatch_0">&nbsp;Healing from Infidelity</a> Website: <a href="DivorceBusting.com">DivorceBusting.com</a>

In Part 2 of our conversation, Michele Weiner-Davis and Dr. Jenni Skyler go deeper into what real repair looks like after infidelity — including the questions betrayed partners ask that quietly prolong the pain, the unfaithful partner's essential role in healing, and what it actually takes to rebuild sexual intimacy when trust has been broken.

Re-publish | Listen Again: Beyond the Blue Pill - Dr. Jenni and Daniel on Breaking from ED

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